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DR. ALI-MOHAMMED WALIUL ISLAM D.O.
NPI 1235369463
Family Medicine in Bronx, NY

Active since July 22, 2009PECOS Enrolled
5525 BROADWAY, BRONX, NY 10463(718) 884-0279(718) 548-3867 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Oct 23, 2018 (2 updates tracked since 2018).

About Dr. Ali-mohammed Waliul Islam D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALI-MOHAMMED WALIUL ISLAM D.O. (NPI 1235369463) is an individual family medicine provider in Bronx, New York, licensed in New York (253012) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235369463
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALI-MOHAMMED WALIUL ISLAMCredential: D.O.
Location Address5525 BROADWAYBronx, NY 10463-5202
Mailing Address5525 BroadwayBronx, NY 10463-5202 · (718) 884-0279 · Fax (718) 548-3867
Phone(718) 884-0279
Fax(718) 548-3867
Sole ProprietorNo
Enumeration DateJuly 22, 2009
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1235369463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 253012
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5525 BROADWAY, Bronx, NY 10463
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Other Names 1

Other Name (5)Dr. Ali W. Islam D.o.

Other Identifiers 1

Medicaid03147037NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ali-mohammed Waliul Islam D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVIA DE LEON LMSW
Social Worker
5525 BROADWAY
BRONX, NY 10463
Bronx County (027) 971-8884
MMC MARBLE HILL PRACTICE
Clinic/Center (Multi-Specialty)
5525 BROADWAY, MMC MARBLE HILL PRACTICE
BRONX, NY 10463
Bronx County (914) 377-4722
JENNIFER CHIU MD
Family Medicine
5525 BROADWAY
BRONX, NY 10463
Bronx County (718) 884-0279
JESSICA CATHERINE BECKER LMSW
Social Worker
5525 BROADWAY
BRONX, NY 10463
Bronx County (718) 884-0279
MS. ANITA PEPRA FNP
Nurse Practitioner (Family)
5525 BROADWAY
BRONX, NY 10463
Bronx County (718) 884-0279
DR. KATHRYN ANASTOS M.D.
Internal Medicine
5525 BROADWAY
BRONX, NY 10463
Bronx County (718) 884-0279

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali-mohammed Islam's NPI number?

The NPI number for Ali-mohammed Islam is 1235369463. It was assigned to this individual provider in the NPPES registry on July 22, 2009. The provider is also known as Dr. Ali W. Islam D.O..

Where is Ali-mohammed Islam located?

Ali-mohammed Islam practices at 5525 Broadway, Bronx, NY 10463. The listed phone number is (718) 884-0279.

What is Ali-mohammed Islam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ali-mohammed Islam enrolled in Medicare?

Yes. Ali-mohammed Islam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ali-mohammed Islam was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.